Cedrick Awah, PHARMD
Individual provider Active NPI Pharmacist · Wyoming, MI
NPI 1508530585 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1508530585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302042440 (MI)
- Practice address
- 5838 Metro Way SW
Wyoming, MI 49519-9619 - Phone
- (616) 549-5300
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042440 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302042440 | MI | Yes |
Addresses
Primary practice location
5838 Metro Way SW
Wyoming, MI 49519-9619
Mailing address
5237 Catalpa Dr
Grand Blanc, MI 48439-3444
Phone (630) 715-0571
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.